PMID- 35629246 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2075-4426 (Print) IS - 2075-4426 (Electronic) IS - 2075-4426 (Linking) VI - 12 IP - 5 DP - 2022 May 19 TI - Exposure to Proton Pump Inhibitors and the Risk of Incident Asthma in Patients with Coronary Artery Diseases: A Population-Based Cohort Study. LID - 10.3390/jpm12050824 [doi] LID - 824 AB - We aimed to determine the association between proton pump inhibitor (PPI) use and incident asthma in patients with coronary artery disease (CAD). This nationwide cohort study collected claims data from the Taiwanese Bureau of National Health Insurance from 2004 to 2013. The primary outcome, i.e., the risk of incident asthma, was assessed by estimating hazard ratios (HRs) and 95% confidence intervals (CIs). The adjusted HR of asthma development was estimated using the Cox regression model. Sensitivity and subgroup analyses were also conducted. A total of 8894 PPI users and 12,684 H2-receptor antagonist (H2RA) users were included in patients with CAD. Compared with H2RA use, an increased risk of incident asthma was found between PPI use and the risk of incident asthma in patients with CAD after adjusting for sex, age, urbanization, and low income (HR: 1.41; 95% CI: 1.04-1.89). The sensitivity analysis results were consistent with the main analysis results. However, the subgroup analysis revealed no association of incident asthma in patients with diabetes mellitus, hyperlipidemia, stroke, allergic rhinitis, pneumonia, cancer, or depression in the PPI group compared with those in the H2RA group. In conclusion, PPI use increased the risk of asthma development in patients with CAD. FAU - Lin, Tsung-Kun AU - Lin TK AUID- ORCID: 0000-0001-9421-7371 AD - Department of Pharmacy, Taoyuan Armed Forces General Hospital, Taoyuan 32551, Taiwan. AD - School of Pharmacy, National Defense Medical Center, Taipei 11490, Taiwan. FAU - Tsai, Chin-Feng AU - Tsai CF AUID- ORCID: 0000-0003-4475-9708 AD - Division of Cardiology, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung 40201, Taiwan. AD - School of Medicine and Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan. FAU - Huang, Jing-Yang AU - Huang JY AUID- ORCID: 0000-0002-0794-9388 AD - School of Medicine and Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan. AD - Department of Medical Research, Chung Shan Medical University Hospital, Taichung 40201, Taiwan. FAU - Pan, Lung-Fa AU - Pan LF AD - Graduate Institute of Radiological Science, Central Taiwan University of Science and Technology, Taichung 40653, Taiwan. AD - Department of Cardiology, Taichung Armed Forces General Hospital, Taichung 41168, Taiwan. FAU - Jong, Gwo-Ping AU - Jong GP AD - Division of Cardiology, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung 40201, Taiwan. AD - School of Medicine and Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan. LA - eng GR - TYAFGH-D-109041/Taoyuan Armed Forces General Hospital/ PT - Journal Article DEP - 20220519 PL - Switzerland TA - J Pers Med JT - Journal of personalized medicine JID - 101602269 PMC - PMC9146427 OTO - NOTNLM OT - asthma OT - coronary artery disease OT - peptic ulcer disease OT - proton pump inhibitors COIS- The authors have declared that no competing interest exist. EDAT- 2022/05/29 06:00 MHDA- 2022/05/29 06:01 PMCR- 2022/05/19 CRDT- 2022/05/28 01:26 PHST- 2022/04/24 00:00 [received] PHST- 2022/05/12 00:00 [revised] PHST- 2022/05/17 00:00 [accepted] PHST- 2022/05/28 01:26 [entrez] PHST- 2022/05/29 06:00 [pubmed] PHST- 2022/05/29 06:01 [medline] PHST- 2022/05/19 00:00 [pmc-release] AID - jpm12050824 [pii] AID - jpm-12-00824 [pii] AID - 10.3390/jpm12050824 [doi] PST - epublish SO - J Pers Med. 2022 May 19;12(5):824. doi: 10.3390/jpm12050824.